Organization
ADVENTHEALTH POLK SOUTH INC
Active
Other names
AdventHealth Lake Wales
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN JUSTIN HENGESBACH (CFO)
(863) 419-2260
Entity
Organization
Contact information
Practice address
410 S 11TH ST, LAKE WALES, FL 33853-4203
(863) 676-1433
(863) 297-1867
Mailing address
410 S 11TH ST, LAKE WALES, FL 33853-4203
(863) 676-1433
(863) 297-1867
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
—
—
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
06/24/2019
Last updated
01/19/2024
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